# ELOHIM BARA / RAPHA HOME & HOSPITAL FOR THE AGED CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EBR HOME & HOSPITAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790926541
- **Authorized official:** MRS. DJENANE JEAN NR (PR)
- **Authorized official phone:** (786) 201-0137

## Contact information

- **Practice address:** 1175 NW 132ND ST, NORTH MIAMI, FL 33168-6625
- **Practice address phone:** (786) 201-0137
- **Mailing address:** 1175 NW 132ND ST, NORTH MIAMI, FL 33168-6625
- **Mailing address phone:** (786) 201-0137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | FL | Yes |

## Other

- **Enumeration date:** 03/07/2009
- **Last updated:** 07/21/2022